Attach 3 - MFT 21-18 _Past Performance Questionnaire (PPQ)1.pdf
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- Solicitation number
- FA442721R0005
About this file
This solicitation is for sanitary sewage lift station and grease trap maintenance services for Travis Air Force Base in California. The contractor will provide all labor, materials, equipment and services necessary to perform required maintenance and repairs in accordance with the performance work statement. The period of performance is from March 1, 2021 through September 30, 2021 with four optional one-year extensions. Proposals are due by February 10, 2021 and must be submitted electronically to the contracting officer. The anticipated award date is March 1, 2021. Offerors are encouraged to visit the facilities to inspect the nature of the work. This is a competitive procurement and the government will evaluate proposals based on price and technical factors.
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Attachment 3 – Sanitary Sewage Lift Station and Grease Trap Services
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
A. OFFEROR’s REFERENCE INFORMATION:
Contract Name and/or Number (Include task order number(s) if applicable:
Company (Include task order number(s) if applicable:
Address:
POC of Contact (POC):
Title of POC:
Telephone Number:
Email:
Contractor performed as: Prime Contractor Sub-Contractor
Travis AFB is in the process of soliciting offers from companies capable of providing:
Sanitary Sewage Lift Station and Grease Trap Services
In order for 60th Contracting Squadron to conduct its evaluation, we request that you complete the questionnaire below and email a PDF file to: Jude Rubrico, Contract Specialist, at judejames.rubrico@us.af.mil. The due date for completed questionnaires is: 21 Dec 2020 at 1:00 PM Pacific Time. Your completed questionnaire will become pa part of the official source selection records. To be considered, the Past Performance Questionnaire shall be returned to the Contract Specialist in its entirety and by the due date and time specified above.
To confirm receipt of your completed/submitted questionnaires, please contact:
Contract Specialist: Jude Rubrico by email at judejames.rubrico@us.af.mil, Tel: 707-424-7773.
mailto:judejames.rubrico@us.af.mil mailto:judejames.rubrico@us.af.mil
B. RESPONDENT INFORMATION: Please complete
Contracting Activity/Customer:
Address:
Telephone Number:
Email Address:
Point of Contract (POC) Title of POC:
C. CONTRACT INFORMATION: Please Complete.
Contract Name and/or Number Task Order Number:
Type of Contract:
Performance Period (Base plus any options) Annual Contract Value:
Total Contract Dollar Value: (base plus options)
Number of FTEs Contract Description:
Contractor performed as: Prime Contractor:
Sub-Contractor:
If subcontractor: What percentage was performed by the evaluated Contractor
A. PERFORMANCE INFORMATION: Choose the appropriate number on the scale (1, 2, 3, 4, and
5) that most accurately describes the Contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 4 or 5.
1 2 3 4 5
Substantial Confidence
Satisfactory Confidence
Neutral Confidence
Limited Confidence
No Confidence
Based on the Based on the No recent/relevant Based on the Based on the offeror’s offeror’s performance record offeror’s offeror’s recent/relevant recent/relevant is available or the recent/relevant recent/relevant performance performance offeror’s performance performance record, the record, the performance record record, the record, the Government has a Government has a is so sparse that no Government has a Government has no high expectation reasonable meaningful low expectation expectation that the that the offeror will expectation that the confidence that the offeror will offeror will be able successfully offeror will assessment rating successfully to perform the successfully can be reasonably perform the successfully required effort. perform the assigned. required effort. perform the required effort. The offeror may required effort.
not be evaluated favorably or unfavorably on the factor of past performance.
Place an “X” in the appropriate column using the definitions matrix above.
THE CONTRACTOR 1 2 3 4 5
1 The Contractor provided quality service that adhered to contract requirements.
2 The Contractor consistently responded to problems and took appropriate action to correct performance.
3 Demonstrated the ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period,.
4 Contractor corrected deficiencies in timely manner and pursuant to their contract requirements.
5 Contractor demonstrated an overall effective and quality management effort.
6 Contractor cooperated with the Government in providing flexible, proactive and effective solutions to critical contract issues.
7 Followed approved quality control plan.
8 Contractor consistently demonstrated an ability to pump out, cleaning and disposal services for Sanitary Sewage Lift Station.
THE CONTRACTOR 1 2 3 4 5
9 Contractor consistently demonstrated the ability to remove all grease and sludge from grease traps.
10 Contractor transported and disposed of all materials from lift stations and grease traps to authorized location.
11 Contractor provided all weight tickets for each load pumped out within time frames specified for the contract.
12 How would you rate the Contractor’s overall performance
Is the Contractor rated in CPARS?
Yes No
14 Was the Contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”
15 Would you award another contract to this Contractor? If not, explain in “remarks.”
Additional Remarks
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
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